Synchronous Resection of Colon Adenocarcinoma and Bisegmentectomy of Liver Metastases
| Autor: | Negrete Cervantes Lf, Espejel Deloiza M, Aguilar Preciado Ih, Diliz-Pérez H, Jiménez Bobadilla B, Eduardo E. Montalvo-Javé |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Chemotherapy medicine.diagnostic_test business.industry Colorectal cancer Nausea medicine.medical_treatment Single Case Gastroenterology Colonoscopy medicine.disease Resection Primary tumor Surgery Liver metastases Vomiting Medicine Ascending colon lcsh:Diseases of the digestive system. Gastroenterology medicine.symptom lcsh:RC799-869 business Colon adenocarcinoma |
| Zdroj: | Case Reports in Gastroenterology, Vol 13, Iss 2, Pp 238-244 (2019) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| Popis: | Colorectal cancer is one of the main neoplasms worldwide; at the time of diagnosis about 25% of cases already have an advanced stage with the presence of metastases. A 58-year-old female presented with nausea, vomiting, and black stools and diffuse abdominal pain associated with 7% weight loss. She was referred to our hospital with signs of digestive tract bleeding and anemic syndrome. Panendoscopy revealed body and fundus gastropathy and presence of Helicobacter pylori, and colonoscopy showed a neoplastic lesion at the ascending colon level. A synchronous resection was performed in a single surgical time of colorectal cancer and liver metastases with a duration of 4 h and bleeding of 900 mL. The oral feeding started 24 h after surgery, presenting gas channeling at 24 h and evacuations at 48 h. The total intrahospital stay was 5 days. Synchronous resection of hepatic metastases in colorectal cancer is still rarely performed, despite the fact that in recent years the number of cases has increased because of better surgical techniques. Synchronous resection of colorectal cancer and liver metastases can be performed safely, without increasing transoperative mortality when performed in specialized centers with a multidisciplinary team; however, it is essential to emphasize the importance of negative surgical margins (R0) of the primary tumor and later to be complemented with adjuvant treatment with chemotherapy. |
| Databáze: | OpenAIRE |
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